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卒中血管内治疗后计算机断层扫描上短暂性对比增强的新见解。

New insight into transient contrast enhancement on computed tomography after endovascular treatment of stroke.

作者信息

Antonucci M U, Mocco J, Bennett J A

机构信息

Department of Radiology, University of Florida College of Medicine, Gainesville, FL, USA.

出版信息

Interv Neuroradiol. 2012 Sep;18(3):303-8. doi: 10.1177/159101991201800309. Epub 2012 Sep 10.

DOI:10.1177/159101991201800309
PMID:22958769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3442304/
Abstract

Transient contrast enhancement on computed tomography following endovascular treatment of stroke is a recognized entity that has been previously reported. Technological advances in brain imaging now have the potential to explore and refine its proposed etiology. We describe three patients in whom the location of contrast enhancement correlates with decreased cerebral blood volume on pre-therapeutic CT perfusion studies and with restricted diffusion on MRI. In this regard, contrast enhancement demarcated areas of completed cerebral infarction. The diagnostic and etiological implications are discussed.

摘要

卒中血管内治疗后计算机断层扫描上的短暂性对比增强是一种已被先前报道的公认现象。脑成像技术的进步现在有潜力探索并完善其推测的病因。我们描述了三名患者，其对比增强的位置与治疗前CT灌注研究中脑血容量减少以及MRI上的扩散受限相关。在这方面，对比增强划定了完全性脑梗死的区域。本文讨论了其诊断和病因学意义。

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本文引用的文献

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Transient CT hyperattenuation after Merci clot retrieval and intraarterial thrombolysis in acute stroke mimicking subarachnoid hemorrhage.急性缺血性卒中血管内治疗后 Merci 取栓并发一过性 CT 高密度影，酷似蛛网膜下腔出血。
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Revascularization end points in stroke interventional trials: recanalization versus reperfusion in IMS-I.中风介入试验中的血管再通终点：IMS-I 中的再通与再灌注
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Bilateral paramedian thalamic contrast enhancement on CT after Intra-arterial thrombolysis.动脉内溶栓术后CT显示双侧丘脑旁正中对比增强。
Korean J Radiol. 2005 Jan-Mar;6(1):41-3. doi: 10.3348/kjr.2005.6.1.41.
8
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Neurosurgery. 2000 Jun;46(6):1307-14; discussion 1314-5. doi: 10.1097/00006123-200006000-00005.